Page 1 of 2Community Event Signage Application - V4 February 2016

Community Event Signage ApplicationApplication for approval must be lodged a minimum of 30 days prior to the event.

Applicant detailsContact name Organisation

Not for profit Commercial Individual Other please specify

Address

Contact phone number Email address

Event detailsEvent name Event date

Event location Anticipated attendance

Brief description

Proof of Public Liability Insurance Coverage (must be attached with application)

I am the holder of public liability insurance for a minimum of $20 million

Copy of public liability insurance is attached

Signage installation dateInstallation date Removal date

Signs may be erected up to 14 days prior to an event and must be removed within 2 days of the conclusion of the event.

Signage designOption 1: Community Event Multi-Panel fixtures You may apply to use one or more panels in our standard Multi-Panel fixtures. Signage dimensions must be 1,000mm (W) x 440mm (H) x 3mm (D). For the best impact, we recommend using 2 panels with clear large font and contrasting colours.

Locations No of PanelsManning River Drive North, near Manning Aquatic Centre

Manning River Drive South, approaching Martin Bridge

Wingham Road, near Hargreaves Drive

Wingham Road, Wingham entrance

Old Bar Road, near Manning Point Road

Blackhead Road, near Diamond Beach Road

Harrington Road, near Industrial Road

The Lakes Way, near Valleyview Place

Type of organisation

Page 2 of 2Community Event Signage Application - V4 February 2016

Option 2: Custom You may apply to erect signage in your own format (less than 6m2), in selected locations:

Width Height Signs are different sizes (complete additional information below)

Material

Fixing method

Locations

Wingham Road, near Hargreaves Drive

Wingham Road, Wingham entrance

Manning River Drive South, approaching Martin Bridge

Manning River Drive North, near Manning Aquatic Leisure Centre

Bulga Road and Wherrol Flat Road intersection

Mount George Road, near Gloucester Road

Harrington Road, near Industrial Road

Old Bar Road, near Manning Point Road

The Lakes Way, near Valleyview Place

Blackhead Road, near Diamond Beach Road

Victoria Street banner poles (fees apply)

Other (please specify)

Additional information

Signature of applicantI have read and understood the Policy and Guidelines

Name Signature Date

Forster | 4 Breese Parade | PO Box 450 Forster 2428 | 6591 7222 Gloucester | 89 King Street | PO Box 11 Gloucester 2422 | 6538 5250

Taree | 2 Pulteney Street | PO Box 482 Taree 2430 | 6592 5399

Privacy: This information is required to process your request and will not be used for any other purpose without seeking your consent, or as required by law. Your application will be retained in Council's Records Management System and disposed of in accordance with current legislation. Your personal information can be accessed and corrected at any time by contacting Council.